<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<?php session_start();
?>
<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Legend HR Payroll Management System</title>
<META NAME="Keywords" CONTENT="Online Payroll Services, Online HR Payroll system, Online HR Payroll Management System, Online HR Payroll Services System, Payroll Services, Payroll Management, Payroll Calculator, Payroll Deduction, Payroll EI calculation, Payroll CPP Deduction">
<META NAME="Description" CONTENT="Legend Payroll Services|Legend Payroll Management System|Online HR Payroll Services|Online Payroll Management|Legend Payroll Management System">

<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.4.4/jquery.min.js"></script>
<script src="/css/jquery.maskedinput.js" type="text/javascript"></script>
<link rel="stylesheet" type="text/css" href="/css/main_style.css"/>
<link rel="stylesheet" type="text/css" href="/css/index.css"/>
<script type="text/javascript" src="validationjava.js"></script>
<script src="formavalidates.js" type="text/javascript"></script> 
<script type="text/javascript" src="./css/usernamecheck.js">
</script>
<style type="text/css">@import "/css/jquery.datepick.css";</style>
<script type="text/javascript" src="/css/jquery.datepick.js"></script>
<script type="text/javascript">
$(function() {
	$('#datebirth').datepick({yearRange: '1900:+1'});
	$('#datein').datepick({yearRange: '1900:+1'});
});
function showDate(date) {
	alert('The date chosen is ' + date);
}
</script>
<script type="text/javascript" src="/css/formretain.js">
/***********************************************
* Recall Form Values script- ? Dynamic Drive DHTML code library (www.dynamicdrive.com)
* This notice MUST stay intact for legal use
* Visit Dynamic Drive at http://www.dynamicdrive.com/ for full source code
***********************************************/
</script>
</head>
<body>
<div id="maincontainer">


<table cellspacing="4" cellpadding="1" border="0" style="margin:5px;height:50px;width:740px;background-color:#084c8d;border:1px solid #e5e5e5;color:white;font-size:110%;font-weight:bold;">
<tr><td width="20"></td>
<td width="90" align="center"><a class="headlink" href="index.html">HOME</a></td>
<td width="90" align="center"><a class="headlink" href="apply.php">APPLY</a></td>
<td width="130" align="center"><a class="headlink" href="member.php"><span class="displace">MEMBERS</span></a></td>
<td width="110" align="center"><a class="headlink" href="career.php"><span class="displace">CAREER</span></a></td>
<td width="90" align="center"><a class="headlink" href="faqs.php"><span class="displace">FAQ's</span></a></td>
<td width="90" align="center"><a class="headlink" href="contact.php"><span class="displace">CONTACT</span></a></td>
<td width="140"></td>
</tr>
</table>

<div id="content">
    	<div id="Apphead" class="Apphead" style="margin: 20px 0 0 5px;">
        	<h2>Legend Payroll Registration System</h3>
            
    	</div>
        <!-- EOD of Application Head -->    
          
        <div id="TopSectionWrapper" class="PersonalInfo">		

	<!--Starting of Personal Information Section-->
	<div id="TitleInfo" class="TitleInfo"><h2>Set up Your Business Profile</h2></div>
	<form name="Profiles" method="post" action="business_register_2.php" id="Profiles">
	<table cellspacing="4" cellpadding="1" border="0" style="margin: 0 0 0 0;">
	<tr><td width="400" align="left">Business User Name <span style="color:grey;font-size:small;">Your business 			loginID</span></td></tr>
	<tr><td width="400"><input type="text" style="width: 150px;" name="BuserName" id="loginID">
			<img id="available" src="./images/available.png" width="16" height="16"/>
			<img id="notavailable" src="./images/notavailable.png" width="16" height="16"/></td></tr>

        <tr><td width="200" align="left">Business Full Name:</td></tr>
        <tr><td width="200"><input type="text" style="width: 150px;" name="BfullName"></td></tr>
	<tr><td width="600" align="left">Business Short Name <span style="color:grey;font-size:small;">This short name will 		be shown in your employee payroll</span></td></tr>
        <tr><td width="200"><input type="text" style="width: 150px;" name="BshortName"></td></tr>
	<tr><td width="200" align="left">Business Address</td></tr>
	<tr><td width="200"><input type="text" style="width: 150px;" name="Baddress"></td></tr>
	<tr><td width="200" align="left">City</td></tr>
	<tr><td width="200"><input type="text" style="width: 150px;" name="Bcity"/></td></tr>
        <tr><td width="200" align="left">Province</td></tr>
        <tr><td width="200"><select style="width: 200px;" name="Bprovince">
		<option value="">Please Select your province</option>
                <option value="Alberta">Alberta</option>
                <option value="British Columbia" >British Columbia</option>
                <option value="Manitoba" >Manitoba</option>
                <option value="New Brunswick">New Brunswick</option>
                <option value="Newfoundland"> Newfoundland</option>
                <option value="Northwest Territories">Northwest Territories</option>
                <option value="Nova Scotia">Nova Scotia</option>
                <option value="Nunavut">Nunavut</option>
                <option value="Ontario">Ontario</option>
                <option value="Prince Edward Island">Prince Edward Island</option>
                <option value="Quebec">Quebec</option>
                <option value="Saskatchewan">Saskatchewan</option>
                <option value="Yukon">Yukon</option></select></td></tr>
	<tr><td width="600" align="left">Post Code <span style="color:grey;font-size:small;">(Post Code:A9A-9A9)		</span></td></tr>
        <tr><td width="200"><input type="text" id="post" name="Bpostcode" style="width: 150px;"/></td>




<tr><td width="700" align="center">Please Select Employee Role</td></tr>
<tr><td width="700" align="center">
<select style="width: 220px;" name="roles">
	<option value="null">Please select roles</option>
	<option value="admin" >Admin</option>
	<option value="employee" >Employee</option>
</select></td></tr><tr></tr>
<tr><td><input type="text" style="visibility:hidden;" name="m_status" value="<?php echo $status;?>"></td></tr>

<tr><td width="700" align="center"><input type="submit" value=" &nbsp;Submit &nbsp; "/></td></tr>
</table>	
<!-->
		<tr>
                <td width="140" align="right">Gender:</td>
                <td width="170">
			<select style="width: 130px;" name="gender">
				<option value="">- Select -</option>
				<option value="female" >female</option>
				<option value="male" >male</option>
			</select>
                <td width="230" align="right">Social Insurance Number:<br/><span style="color:green;font-size:small;">(SIN: 999-999-999)</span></td>
                <td width="160"><input type="text" style="width: 150px;" id="ssn" name="SIN" value="" class="memorize"></td>
		</tr>
				
		<tr>
                <td width="140" align="right">Date of Birth:<br/><span style="color:green;font-size:small;">(date: mm/dd/yyyy)</span></td>
                <td width="170"><input type="text" id="datebirth" style="width: 150px;" name="birthdate" class="memorize"/></td>
                

		<tr>
                <td width="140" align="right">Post Code:<br/><span style="color:green;font-size:small;">(Post Code:A9A-9A9)</span></td>
                <td width="170"><input type="text" id="post" name="postcode" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">When did you move in:<br/><span style="color:green;font-size:small;">(Date: mm/dd/yyyy)</span></td>
                <td width="160"><input type="text" id="datein" style="width: 150px;" name="datein" value="" class="memorize"></td>
		</tr>

		<tr>
                <td width="140" align="right">Primary Phone:<br/><span style="color:green;font-size:small;">(Tel: (999) 999-9999)</span></td>
                <td width="170"><input type="text" id="phonep"  name="primaryphone" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Work Phone:<br/><span style="color:green;font-size:small;">(Tel: (999) 999-9999x99999)</span></td>
                <td width="160"><input type="text" id="phonew"  name="workphone" style="width: 150px;" value="" class="memorize"></td>
		</tr>

		<tr>
                <td width="140" align="right">Cell Phone <span style="color:green;font-size:small;">(optional):<br/>(Tel: (999) 999-9999)</span></td>
                <td width="170"><input type="text" id="phonec"  name="cellphone" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Driver License/Health Card #:</td>
                <td width="160"><input type="text" name="driver" style="width: 150px;" value="" class="memorize"></td>
		</tr>

		<tr>
                <td width="140" align="right">Email Address:<br/><span style="color:green;font-size:small;">(LoginID)</span></td>
                <td width="170"><input type="text" name="email" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Confirm Email Address:</td>
                <td width="160"><input type="text" name="cemail" style="width: 150px;" value="" class="memorize"></td>
		</tr>
		
		<tr>
                <td width="140" align="right">Password:</td>
                <td width="170"><input type="password" name="pwd" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Confirm Password:</td>
                <td width="160"><input type="password" name="cpwd" style="width: 150px;" value="" class="memorize"></td>
		</tr>

		<tr>
                <td width="140" align="right">Reference #1 Name:</td>
                <td width="170"><input type="text" name="r1name" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Reference #2 Name:<br/><span style="color:green;font-size:small;">(optional)</span></td>
                <td width="160"><input type="text" name="r2name" style="width: 150px;" value="" class="memorize"></td>
		</tr>
		
		<tr>
                <td width="140" align="right">Reference #1 Phone:<br/><span style="color:green;font-size:small;">(required)</span></td>
                <td width="170"><input type="text" id="phoner1"  name="r1phone" style="width: 150px;" class="memorize"/><br/><span style="color:green;font-size:small;">(Tel: (999) 999-9999 x 99999)</span></td>
                <td width="230" align="right">Reference #2 Phone (optional):<br/><span style="color:green;font-size:small;">(Tel: (999) 999-9999x99999)</span></td>
                <td width="160"><input type="text" id="phoner2"  name="r2phone" style="width: 150px;" value="" class="memorize"></td>
		</tr>


		<tr>
                <td width="140" align="right">Relationship :<br/><span style="color:green;font-size:small;">(with Reference  #1)</span></td>
                <td width="170"><input type="text" name="r1relation" style="width: 150px;" class="memorize"/></td>
                <td width="230" align="right">Where did you know:<br/><span style="color:green;font-size:small;">(www.cash2u.ca)</span></td>
                <td width="160">
		<select style="width: 150px;" name="advertisement">
			<option value="">- Select -</option>
			<option value="www.Cash2u.ca" >www.Cash2u.ca</option>
			<option value="Google" >Google</option>
		        <option value="Yahoo" >Yahoo</option>
		        <option value="Email" >E-Mail</option>
		        <option value="Internet" >Internet Search</option>
		        <option value="Friend" >Friend</option>
			<option value="Other Websites" >Other Websites</option>
		        <option value="Other Media" >Other Media</option>
		</select></td>
		</tr>
	</table>	
	
<!--for submit button-->
	<table>	
	<tr><td width="700" align="center"><input type="submit" value=" &nbsp;Next &gt;&gt; "/></td>
		</tr>

</table>
	</form>
<script src="/css/businessregister.js" type="text/javascript"></script>	
<div><img src="./images/security.gif"/></div>
<div id="footer">
<div id="imlinks"><b><strong>Copyright &#169 2011 Cash2u.ca All rights reserved</strong></b></div>
</div>

</div>


</body>
</html>











































































